泌尿器科疾患のもたらす国家・社会的損失 : 特に疫学の立場からみた対処の戦略について

Abstract

Diseases of urinary organs are quite important from the standpoint of public health as the frequent cause of death, disease, defect, disability, discomfort, dissatisfaction and destitution (7D). From 1979 to 1984, 82, 071 persons died from diseases of urinary organs in Japan. Of these 14.4, 11.9 and 8.5% were deaths from cancers of prostate, urinary bladder and kidney, respectively. Mortality from these diseases, is on the increase in recent years. Deaths due to kidney insufficiency, both acute and chronic, are also on the increase. Series of epidemiological studies revealed selected risk factors enhancing the risk of occurrence of each of these diseases, e.g., cigarette smoking and meat intake for bladder cancer, drinking of hard liquor and lesser consumption of green-yellow vegetables for prostatic cancer, lesser consumption of soybean paste soup for chronic nephritis. Obviously these diseases are a heavy burden to the nation, the effective planning and implementation of primary and secondary prevention programs are urgently necessary.